<div class="container"> 
	<div class="row"> 
		<div class="panel panel-info">
			<div class="panel-heading">
				<div class="panel-title">Bulk Add Services</div>
			</div>
			<div class="panel-body">
				<div class="row">
					<div class="col-md-12">
						<div class="well">
							<!--<h3>Blank Page</h3>
							<hr style="background:skyblue;height:1px;">-->
							<div class="row">
								<div class="col-md-6" >
                                	
									<form role="form">
                                      <div class="form-group">
                                      	<label for="exampleInputEmail1">Select Services</label>
                                      	<div class="checkbox">
                                          <label>
                                            <input type="checkbox" value="">
                                            ID Protect for $6.00/yr per domain 
                                          </label>
                                        </div>
                                        <div class="checkbox">
                                          <label>
                                            <input type="checkbox" value="">
                                            Business Listing for $8.00/yr per domain
                                          </label>
                                        </div>
                                      </div>
                                      <div class="form-group">
                                        <label for="exampleInputEmail1">Domain List</label>
                                        <textarea class="form-control" id="exampleInputEmail1"  style="height:100px;"></textarea>
                                        <p>Please enter each domain on a new line.</p>
                                      </div>
                                      <div class="form-group">
                                        <label for="exampleInputEmail1">Years to Add</label>
                                        <select class="form-control">
                                        	<option>1 Year</option>
                                            <option>2 Year</option>
                                            <option>3 Year</option>
                                            <option>4 Year</option>
                                            <option>5 Year</option>
                                            <option>6 Year</option>
                                            <option>7 Year</option>
                                            <option>8 Year</option>
                                            <option>9 Year</option>
                                            <option>10 Year</option>
                                        </select>
                                      </div>
                                      <button type="submit" class="btn btn-warning">Add To Cart</button>
                                      <button type="submit" class="btn btn-warning">Instance Purchase</button>
                                    </form>
								</div>
							</div>
							
						
						</div>
					</div>
				</div>	
			</div>
		</div>
	</div>
</div>
